Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Respiratory Care Seminar‼️ > Ch. 6: Manual Resuscitation Techniques/Emergency Resp. Care > Flashcards

Ch. 6: Manual Resuscitation Techniques/Emergency Resp. Care Flashcards

1
Q

List the uses of manual resuscitators (3)

A
  1. Manual ventilation
  2. Hyperinflation of lungs before tracheal suctioning
  3. During transport of patient who requires artificial ventilation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

It is recommended to deliver one breath every _________ for respiratory arrest.

A

5 to 6 seconds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

To achieve the highest delivered O2 levels possible, use the following criteria:

A

a. Always use a reservoir attachment.
b. Use the highest flow rate available (10 to 15 L/min).
c. Use the longest possible bag refill time (meaning a slower ventilation rate). Allow the bag to fully refill before the next breath.

A reservoir attachment should be connected to the bag intake valve so that, as the bag reinflates, it fills with supplemental O2 instead of room air.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Oxygen-Powered Resuscitators

Oxygen-Powered Resuscitators are usually ____________ limited devices.

A

Pressure

They are capable of delivering 100% O2.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Routes of Administration

What is the ideal route, if available. It is inserted into the vena cava from the subclavian, jugular, or femoral vein?

A

Central venous line

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Routes of Administration

What is the best route when a central venous line is not available?

A

Peripheral IV line

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Wha drugs can be instilled directly into the tracheobronchial tree via the ET tube for rapid absorption?

To more easily recall CPR drugs that can be administered through the ET tube, remember the acronym NAVEL.

A
  • Lidocaine
  • Epinephrine
  • Atropine
  • Vasopressin
  • Naloxone hydrochloride

The instilling of these drugs through the ET tube may be permissible if the IV or IO route is not available, but it is not preferred.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the only drug that may be injected directly into the heart?

A

Epinephrine

but only when the ET tube or IV route is not available or when administration via those routes has failed to elicit a response.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

List the 5 indications for Epinephrine

A
  1. Asystole
  2. Sinus arrest
  3. V-fib
  4. Pulseless ventricualar tachycardia
  5. Pulseless electrical activiy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the indications for Amiodarone (Cordarone)?

A
  • Ventricular tachycardia
  • Ventricular fibrillation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

List the indications for Atropine sulfate

A
  • Sinus bradycardia
  • Symptomatic bradycardia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the indications for Procainamide (Pronestyl)?

A
  • Ventricular tachycardia
  • Ventricular fibrillation
  • Premature ventricular tachycardia
  • Preexcited atrial fibrillation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

List the indications of Propranolol hydrochloride (Inderal) (4)

A
  • Myocardial infarction (MI)
  • Angina pectoris
  • Supraventricular arrhythmias
  • Ventricular tachycardia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the indication for Vasopressin?

A

Cardiac arrest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the indications for Dobutamine hydrochloride (Dobuject, Dobutrex)?

A
  • Depressed myocardial contractility

Pharmacologic actions:
* Increased HR
* Increased force of contraction of theheart

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the indication of Dopamine hydrochloride (Intropin)?

A

Hypotension

Pharmacologic actions:
* Increased cardiac output
* Increased blood pressure

17
Q

What is Sodium nitroprusside (Nipride) used for?

A

Hypertension

Pharmacologic actions:
* Peripheral vasodilation
* Decreased blood pressure

18
Q

What are the indications for calcium chloride?

A
  • Hypocalcemia
  • Hyperkalemia

Pharmacologic actions:
* Increased force ofcontraction of the heart

19
Q

Cardioversion is used to terminate the following arrhythmias:

A
  1. Atrial flutter
  2. Atrial fibrillation
  3. Ventricular tachycardia
  4. Paroxysmal supraventricular tachycardia
  5. Ventricular fibrillation (defibrillation is usually indicated)
20
Q

What is the difference between cardioversion and defibrillation?

A

Cardioversion delivers a lower energy level than defibrillation.

21
Q

What is an absolute contraindication of NT suctioning?

A

Epiglottis or croup

22
Q

What is the normal level range for cardioversions?

A

50-100 J

0.2-1.0 J/kg

23
Q

For atrial fibrillation, what cardioversion J levels are used?

A

For atrial fibrillation, 120 to 200 J
is used.

24
Q

What is the RTs job during cardioversions?

A
  1. Monitor heart rate and respiratory rate.
  2. Monitor O2 saturation.
  3. Have O2 delivery device readily available.
  4. Have manual resuscitator and intubation equipment readily available.
25
Q

Devices that provide early defibrillation in a witnessed cardiac arrest, which is generally caused by ventricular fibrillation.

A

Automated External Defibrillation (AED)

26
Q

Automated External Defibrillation (AED)

After the shock, the rescuer should deliver how many cycles of CPR?

A

5

The rhythm is checked by the AED after the five cycles. If no shock is advised by the AED, the voice alert will prompt the user to resume CPR immediately.

27
Q

If the patient has a surgically implanted device in
the chest, such as a pacemaker, place the pads at
how far away from the device?

A

At least one inch

28
Q

A written document stating a person’s decisions regarding medical treatment that is to be initiated (or not initiated) should the person not have the physical or mental capacity to communicate his or her wishes.

A

Advanced directive

29
Q

A type of advance directive that patients put in writing regarding their wishes about medical treatment if they become terminally ill and are incapable of making decisions about their medical care.

A

Living will

This does not include hydration and nutrition. The directives in a living will apply only to patients who have a terminal illness.

30
Q

A type of advance directive in which a legal guardian is appointed to make the medical decisions for a patient who cannot make those decisions on his or her own. The withdrawal of hydration and nutrition by feeding tube is permissible with this type of directive.

A

Durable power of attorney

31
Q

DO NOT RESUSCITATE ORDERS

If the patient is not in full respiratory or cardiac arrest but the patient’s breathing and pulse rate are inadequate, resuscitation should not be administered; however, the following are generally allowed:

A
  1. O2 administration
  2. Airway suctioning
  3. Use of a cardiac monitor
  4. Emotional support
  5. Control of bleeding
  6. Initiation of an IV line
32
Q

Important Points Concerning the Transport

Sudden changes in speed or direction may cause a drop in the patient’s blood pressure.

A

KNOW IT

33
Q

Important Points Concerning the Transport

Higher altitudes (lower atmospheric pressure) may ________ the size of an untreated pneumothorax and increase ________, which may decrease capillary perfusion to the trachea.

A

Higher altitudes (lower atmospheric pressure) may increase the size of an untreated pneumothorax and increase ET tube cuff pressure, which may decrease capillary perfusion to the trachea.

34
Q

Important Points Concerning the Transport

Heated humidity or aerosol for ventilators or masks during transport is not necessary for such short-term use.

A

Important Points Concerning the Transport

35
Q

Respiratory Care Equipment Needed During Transport

A
  1. O2 system (tanks or liquid)
  2. Portable suction machine and catheters 3. Portable ventilator
  3. Portable ECG unit
  4. Arterial pressure monitor
  5. Pulse oximeter
  6. Intubation equipment
  7. Manual resuscitator

Respiratory Care Seminar‼️ (19 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions